Natasha Mitchell

Gi Alliance

05.2019 - Current

Obtain all requests for precertification and prior authorization from insurance companies for appointments, scheduled tests and procedures.
Contact insurance companies as needed to obtain precertification and record on form data entry.
Communicates necessary patient financial information with appropriate office and billing personnel in an efficient, timely and accurate manner.
Documents, within the practice management system, all required information to include financial responsibility.
Verify waivers have been signed as needed for tests and procedures prior to date of service.
Conduct thorough follow-ups with insurance companies, ensuring timely receipt of authorization numbers for approved services.
Maintain strict adherence to HIPAA regulations by safeguarding confidential patient information during all aspects of the precertification process.
Call patients to make pre-payment arrangements prior to procedures
Create pre-pay letters to mail to patients
Advise benefits and financial responsibility to patient with regard to scheduled procedure.
Verify whether diagnosis on schedules are payable to scheduled procedure.
Review pathology reports to find type of previous polys when patient is being seen with personal history of polyps to determine patient benefits.
Review records for a medical diagnosis that may require patients benefits to be filed as a diagnostic test.
Review records to confirm true screening and that patient has not had polyps removed in past colonoscopies.